Functional outcome of transforaminal lumbar interbody fusion for lytic and degenerative spondylolisthesis
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 3
Abstract
Introduction: Spondylolisthesis is defined as the forward displacement of one vertebra over the vertebra below. It is often accompanied by spinal canal stenosis and compression, which is the cause of all the symptoms. Aim: The aim of this prospective study is to analyze the Functional outcome of Transforaminal Lumbar Interbody Fusion in Spondylolisthesis. Methods: 20 patients of Isthmic spondylolisthesis grade I-III, patients who don’t respond to conservative treatment (6 months), Degenerative spondylolisthesis grade I-II, patients who don’t respond to conservative treatment (6 months), Traumatic spondylolisthesis were included in this study. Results: The most common level involved is L4-L5 in 55% of cases and L5-S1 in 40% of cases. The L4-L5 Level is most commonly affected in Degenerative type (80%). The L5-S1 level was most commonly affected in Lytic type (60%). The mean preoperative Visual analog score for Back pain was 10 which improved to 2(1-4) at final follow up implying better pain score postoperatively. The mean preoperative Visual analog score for Leg pain was 8 which improved to 1 (1-5) at final follow up implying better pain score postoperatively. The mean preoperative Oswestry Disability Index (ODI) Score was 64% (range from 56% -74%) which improved to 20% at final follow up which indicates improvement in daily activities of the patient. Conclusion: Transforaminal Lumbar Interbody Fusion is a safe and effective surgical procedure for the treatment of lytic and degenerative spondylolisthesis.
Authors and Affiliations
Raship Khan, C Joney Mandice, Heber Anandan
Keywords
Related Articles
- EP ID EP487541
- DOI 10.22271/ortho.2018.v4.i3c.30
- Views 104
- Downloads 0
Craniovertebral junction tuberculosis with Subluxation
Tuberculosis of the Craniovertebral junction is a rare and potentially dangerous condition. Neurological complications are more serious and common than with that of other vertebrae. Hence the need for early recognition a...
Assessment of radiological outcomes in gap non-union of long bones using non-vascularised fibular strut graft augmented with corticocancellous graft
Background: A prospective study was conducted in the department of Orthopaedics & Traumatology in Dr. D.Y Patil Hospital, Navi Mumbai from January 2015 to June 2017 to assess radiological outcomes in traumatic gap non-un...
Primary plating osteosynthesis in open fractures
Introduction: We have undertaken the work with the idea that early internal fixation with plate provide sufficient stability for proper nursing of wound and fracture healing on one hand and initiation of early joint func...
A comparative study of proximal femoral fracture fixation with proximal femoral nail and Dynamic hip screw & plating
Trochanteric fractures are one of the commonest injuries sustained predominantly in patients over sixty years of age. They are three to four times more common in women than in men. These usually occur through bone affect...
A prospective analysis of efficacy of fenestration discectomy in patients with symptomatic lumbar disc prolapse
Background: Aim of the study was to evaluate the efficacy of Fenestration Discectomy in symptomatic Lumbar Disc Prolapse in terms of pain relief, recovery of neurological deficit and assessing complication rates. Materia...